| NPI | 1669627899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C04034) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0110002874) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2024-04-15 |